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- Student accounts
- Register online

Links to:
- Final Exam schedule
- Student calendar
- Tuition payment procedures
- Veteran's services

Office of the Registrar
1450 Collegeway
Worthington, MN 56187
800-657-3966
fax: 507-372-5801
contact: Registrar

Revised: Thursday, June 04/2009

Online Course Registration Form

NOTE: This form is only for students not seeking a degree from Minnesota West Community and Technical College. Complete the form, then click the Submit button. All fields must be completed.

Payment Disclosures: Terms and Conditions

I understand that I am responsible for all charges for this registration at Minnesota West Community and Technical College.
I understand that it is my responsibility to read all policies and procedures as outlined in the student handbook.
I understand the drop/add, withdrawal, and refund policies as outlined in the handbook.
It is my total obligation to pay tuition and fees in full for all classes that I am registered for after the fifth class day of any term.
I further understand that all tuition and fees are to be paid in full no later than the fifth day of any term unless a deferment is in effect.
I understand that I may be subject to late fees.
I understand that if I have an unpaid balance, no further enrollment at Minnesota West will be permitted, that my unpaid balance will be turned over to a collection agency, and that I am fully responsible for any collection costs and fees.

Term:

Date of Birth: *

Last 4 digits of SSN: *

We ask for your birthdate and last 4 digits of SSN to help ensure that we don’t create duplicate accounts.

* The previous information will help Minnesota State Colleges and Universities evaluate student recruitment and retention policies; it will not be used as a basis for admission. Providing this information is voluntary.

Are you Hispanic or Latino?

Racial Background

Last name:

First name:

Street Address:

City:

State

Zip code:

Home phone:

Email:

Minnesota Resident:

If yes, how long?

Months

Years

Course 1 (*)
Course ID:

Subj/Nbr:

Title

Credits:

Course 2 (*)
Course ID:

Subj/Nbr:

Title

Credits:

Course 3 (*)
Course ID:

Subj/Nbr:

Title

Credits:

Signature: *

* By entering my name, I am agreeing to all terms and stipulate that all information provided is correct.

Date:

Year:

(*) Registration Information:

To complete this section, you will need to locate course information in the class schedule.
Example: Course ID: 000123 / Subj/Nbr: ENGL 1101 / Title: Composition 1 / Credits: 3

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